Relation between Carotid Artery Plaques Characteristics as a Predictor of Haemodynamics Changes after Carotid Artery Stenting  

作　　者：Hany Mahmoud Zaki ei-Dine Mohamed Khaled Elewa Tamer Mahmoud Elsayed Roushdy Omar Mohamed Hashim Mohamed Hamdy Ibrahim Hany Mahmoud Zaki ei-Dine;Mohamed Khaled Elewa;Tamer Mahmoud Elsayed Roushdy;Omar Mohamed Hashim;Mohamed Hamdy Ibrahim(Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt;Railway Hospital, Ministry of Health, Cairo, Egypt)

机构地区：[1]Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt [2]Railway Hospital, Ministry of Health, Cairo, Egypt

出　　处：《Neuroscience & Medicine》2021年第1期12-21,共10页神经系统科学与医药（英文）

摘　　要：<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objectives: </strong>To study relationship between carotid artery plaques characteristics and haemodynamic changes after carotid stenting. <strong>Patients and Methods: </strong>This observational prospective (pilot) study included 20 patients—who underwent CAS. The study was carried out in Ain shams university hospitals—Railway hospital (ERMED) and Suez insurance hospital from December 2018 to February 2020. Inclusion criteria, Symptomatic (defined as amaurosis fugax, TIA, Minor stroke or Major stroke) stenosis > 70%. Asymptomatic stenosis > 80% (accidentally discovered during pre-operative assessment for CABG and during full assessment for irrelevant stroke). <strong>Results:</strong> Regarding to plaque character for degree of stenosis, calcification and ulceration revealed significantly higher degree of stenosis in hemodynamic events group (P = 0.024). On the other hand, that there was no statistically significant difference between the two groups as regard calcification, ulceration and lesion location. <strong>Conclusion: </strong>The study revealed that HI is a common occurrence following CAS procedures and significantly higher degree of stenosis in hemodynamic events group. Plaque shape, ulcerations hardly affect haeodynamic instability after carotid stenting.</span> </div><div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objectives: </strong>To study relationship between carotid artery plaques characteristics and haemodynamic changes after carotid stenting. <strong>Patients and Methods: </strong>This observational prospective (pilot) study included 20 patients—who underwent CAS. The study was carried out in Ain shams university hospitals—Railway hospital (ERMED) and Suez insurance hospital from December 2018 to February 2020. Inclusion criteria, Symptomatic (defined as amaurosis fugax, TIA, Minor stroke or Major stroke) stenosis > 70%. Asymptomatic stenosis > 80% (accidentally discovered during pre-operative assessment for CABG and during full assessment for irrelevant stroke). <strong>Results:</strong> Regarding to plaque character for degree of stenosis, calcification and ulceration revealed significantly higher degree of stenosis in hemodynamic events group (P = 0.024). On the other hand, that there was no statistically significant difference between the two groups as regard calcification, ulceration and lesion location. <strong>Conclusion: </strong>The study revealed that HI is a common occurrence following CAS procedures and significantly higher degree of stenosis in hemodynamic events group. Plaque shape, ulcerations hardly affect haeodynamic instability after carotid stenting.</span> </div>

关 键 词：Carotid Artery Plaques Carotid Stenting HAEMODYNAMICS Carotid Stenosis 

分 类 号：R74[医药卫生—神经病学与精神病学]